EXPORT MARKETING AND INVESTMENT ASSISTANCE (EMIA) NATIONAL PAVILIONS & LOCAL PAVILIONS APPLICATION FORM FOR EXPORT

COUNCILS, EXPORT CLUBS, JOINT ACTION GROUPS & INDUSTRY ASSOCIATIONS

All correspondence to EMIA should be sent to one of the following addresses:

PHYSICAL ADDRESS (Hand/Courier Deliveries) EMIA: Division Building A: Ground Floor 77 Robert Sobukwe (Meintjies) Street Sunnyside Pretoria 0002

POSTAL ADDRESS (Registered Mail) EMIA Division Building A, Ground Floor Private Bag X84 Pretoria 0001

Correspondence that has not been properly addressed to the dti can be incorrectly forwarded to other departments. the dti does not accept responsibility for mail that has not been properly addressed

Effective 1 October 2013

Warning: Under no circumstances should any application form and/or the claim form be altered. Amended application/claim forms will not be considered for evaluation.

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Section A - Document Checklist

Kindly ensure that all the required documentation is attached to the application in the following order. Please tick the documentation submitted in the last column.
(a) Full colour product brochure (b) Electronic Product photos / images on CD disc in high definition (at least 300 dpi). These images are in addition to the product brochure. The cost of preparing these images is for the exhibitor's account). (c) A copy of the company's Export Registration certificate from Customs & Excise. Note: Not applicable to domestic pavilions held in South Africa. (d) An original valid Tax Clearance Certificate, which must be obtained from SARS. The Tax Clearance Certificate should be valid for a period of 6 months at the time of the application. (e) A copy of the Certificate of Incorporation and copies of all name changes effected. In the case of a sole proprietor a copy of a South African identity document. (f) A copy of a valid passport of the proposed traveller. Note: Not applicable to domestic pavilions held in South Africa. (g) If you are a Commission Agent, please submit copies of agency agreements and brochures from three manufacturing entities, which you represent. (h) If you are an Export Trading House please supply details and brochures of at least three manufacturing entities represented and a letter of permission to represent these entities. (i) Latest audited financial statements, signed by the Directors and the report of the Auditors on the Auditor's letterhead. (j) Company profile (the template will be emailed to your company) and logo (company logo in high definition (at least 300 dpi) on a cd disc).

Refer to National Pavilion Guidelines

Section B - Particulars of Applicant

Name of Councils, JAG or Association Trade Name Entity type (Please Cross X Applicable) Entity registration number Name of the show Show dates Location: City Name under which you will exhibit How many times have you participated in this Pavilion previously? State whether you have already appointed an agent in the country where this National Pavilion is taking place Physical Address City Province Postal Code Telephone number Cellular Email address Contact Person CEO/MD/Owner Proposed Traveller (Designation) How did you find out about the event Title Title Title Newspaper/ Magazine/Radio EMIA Workshop/ Exhibition YES NO Exhibition Space required: Section 21 Other: Please Specify

Factory Address (If applicable) City Province Postal Code Facsimile Alternative Numbers Web site address Name and Surname Name and Surname Name and Surname the dti website / Word of mouth Other: Specify

Disclose information on related parties where the one party can exercise significant / insignificant / substantial / insubstantial influence over party in making financial and operating decisions or can exercise control or joint control over other party. Please refer to "Related Parties" on page 5 of the National Pavilion Guidelines, effective 1 October 2013. Name of related party Short description on the relationship

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Section C - Type of Activity of Applicant

Number of employees Total assets (Excluding fixed property) Membership at date of Application: SMME's OTHER BOE's Turnover last financial year Value of fixed property

Export Council Export Club Industry Association Joint Action Group

YES YES YES YES

NO NO NO NO

Indicate if the organisation is a:

Section D - Previous Financial Assistance

Please indicate previous financial assistance received under any of the EMIA offerings during the last 3 years? (This includes both the Individual and Group offerings) Event/Mission Country Date EMIA Programme Offering i.e. NP, GM, IE, ITI

Section E - Declaration (To be completed by all applicants)

AUTHORISED OFFICIAL OF THE ENTITY I, In my capacity as of
am aware of the fact that the information which I have submitted will have a material bearing on the adjudication of the application and if it, therefore, subsequently transpires that any information in the application and addenda was incorrect, or that certain information was omitted, the Department of Trade and Industry shall be entitled to withdraw or amend its approval and without prejudice to its rights, recover any amounts already paid or to withhold further payments due. I further undertake to furnish follow-up reports on the successes achieved by the visit no later than six months after my return. (Failure to submit the follow up reports will result in you/ your company/organisation being barred from further assistance under the EMIA scheme for a period of 12 months from the date of the exclusion letter). This application (with any addenda), if successful, will form part of your contract with the Department of Trade and Industry. Please Note: Cessions of the incentives granted are not allowed unless consented to in writing by the dti. Any cessions of these EMIA incentives or part thereof invalidate the contract from the date such cession is effected. the dti reserves the right to cede or transfer its rights to any other Government Agency. Indemnity: The organiser / participants indemnify and shall hold harmless the dti against any claims, damages, expenses and costs (including those asserted by third parties) directly or indirectly related to this National Pavilion and the Export Marketing and Investment Assistance provided to the National Pavilion participants by the dti, in delict, for breach of statutory duty or otherwise.

Signed (Authorised Official of Entity) Name in Print Date

Designation

Important Information
Travel Arrangements the dti has appointed Preferred Service Providers, to the EMIA Scheme, for the provision of Travel services. These services include the management of air travel for SMME's and BOE's for the "National Pavilions & Local Pavilions" component of the EMIA Scheme. EMIA makes the arrangements and bears the costs. Any extra costs incurred, over and above those benefits as approved by EMIA, will be for the applicants account. Preferred Service Supplies : DISCLAIMER Whilst every effort has been made to ensure that the Preferred Service Providers in the National Pavilions Guidelines and application forms are competent and efficient, the dti is discharged and exempted from all liability which might arise from all acts pertaining to the transport of samples and air travel arrangements.

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Desktop Export Readiness Questionnaire

Exporting has become a lucrative activity for many South African businesses, but all of them began brief questionnaire by making the critical decisions necessary to expand their market outside South Africa. The following is designed to help you make those fundamental decisions, or if you are already exporting, to help you identify additional information you may export more effectively.

Please note that although these questions require a simple yes/no answer, you are expected to back up your "yes" answers with substatiating evidence.

How to Score Yourself

Give yourself one point for each "Yes" answer, and zero for each "No" answer. YES 1 Your company has a product which has been successfully sold in the domestic market. (If yes, please provide proof by way of financial statements reflecting your domestic sales) 2 Your company has or is preparing an international marketing plan with defined goals and strategies. (If yes, please submit a copy of your international marketing plan - draft or otherwise.) 3 Your company has sufficient production capacity that can be committed to the export market. (If yes, please submit documentary proof: human resource capacity or manufacturing capacity etc) 4 My company has the financial resources to actively support the marketing of our products in the targeted overseas markets. (If yes, please provide proof by way of financial statements indicating financial resources) 5 My company is committed to developing export markets and is also willing and able to dedicate staff, time and resources to the process. (If yes, please indicate the strategy in place that will support this) 6 My company is committed to providing the same level of service given to our domestic customers. 7 My company has adequate knowledge in modifying product packaging and ingredients to meet foreign import regulations, food safety standards and cultural preferences. (If yes, please provide examples of knowledge in specific target markets) 8 My company has adequate knowledge in shipping its product overseas, such as identifying and selecting international freight forwarders, temperature management and freight costing. (If yes, please supply the relevant information as documented) 9 My company has adequate knowledge of export payment mechanisms, such as developing and negotiating letters of credits. (If yes, please substantiate with examples of knowledge levels) NO